I think what might be more important here the restricting a scope is changing a culture. Instead of limiting all emts to the lowest common denominator, l think companies and departments need to be more vigalant on dismissing those who are incompetent to do their job. In Denver d50, ivs, king...
Being that I work in the Denver metro area, I think every system should elevate up to where we are. As a Emt with an IV cert (additional 24 hours classroom and 12 hours clinical) I can start iv's, push narcan iv and in, d50 ( and all of its lower concentration equivelents), albuterol, bgl...
I did the NOLS WMI course, and while it was challenging in both living conditions and the course material to get done in 3 weeks (standard EMT and Wilderness EMT) myself and about 90% of the class were able to pass the NREMT. However, it was 3500 bucks, and did take me driving from Colorado to...
With the exception of blood draws for PD, we go straight off the cath before hooking up the drip set or extension. For PD blood draws we do either butterflies or straight needles on the vacutainer.
Being that I have a dual life of both being an Engineer and spend the rest of my time in EMS, I have seen this from both sides. My experience is that the level of "required" patriotism tends to be directly proportional to how close people feel to "the field" as in, are you actually out doing...
Denver Health is starting a new program testing the use of blood plasma in trauma cases pre-hopsital on their ALS rigs.
Info on the study can be found here.
http://denverhealth.org/ForProfessionals/ClinicalSpecialties/TraumaCenter/ResearchandPublications/COMBATTrial.aspx
I personally...
I bring my own pillow, the most annoying yet comfortable set of sheets you can find (that way no one else beds down on your rack), an extra t-shirt to wear instead of your uniform shirt to bed, an iPad with netflix installed on it (its a lifesaver when you can't sleep), a pack of gum, gallon of...
It never hurts to bring donuts to the station either, show up 15-20 minutes before the start of the shift, tuck your shirt in, pay attention, offer to pay for lunch if you can afford it, and ask questions. Most medics will be happy to hear from you.
Also, always keep a spare pair of gloves...
If you are interested in a job in a hospital, I would suggest telemetry/ECG class as well before you apply, they look for it. Also, everything moves a bit faster if you hand deliver it, when they put a face to a name, they seem to care more.